INTERNAL MEDICINE GROUP PA NPI 1114987781

NPI Information

  • NPI: 1114987781
  • Provider Name: INTERNAL MEDICINE GROUP, PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 415 N CENTER ST
    SUITE 001
    HICKORY, NC
    ZIP 28601
  • Phone: (828) 322-9199

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NPI Details

INTERNAL MEDICINE GROUP, PA is a specialist in Hickory, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INTERNAL MEDICINE GROUP, PA NPI is 1114987781. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

415 N CENTER ST
SUITE 001
HICKORY, NC
ZIP 28601-036
Phone: (828) 322-9199
Fax: (828) 322-6424

The provider's authorized official is Stephanie B. Raby .
The authorized official title is Office Manager and has the following contact phone number (828) 728-0112.

The enumeration date for this NPI number is 3/27/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist56942NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102380OTHERNORTH CAROLINABCBS OF NC
27902380MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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